PURPOSE: Celiac trunk coil embolization before thoracic endovascular aneurysm repair (TEVAR) of a thoracoabdominal aortic aneurysm involving the celiac trunk can prevent type II endoleaks. One disadvantage of conventional coil embolization is the risk of coil displacement. We performed coil embolization under balloon occlusion of the celiac trunk to address this issue. MATERIALS AND METHODS: Between December 2008 and January 2011, 5 patients (3 men and 2 women, mean age 76 years) were included in this study. For all patients, after confirming the collateral blood flow from the superior mesenteric artery via the pancreaticoduodenal arcades by using the balloon occlusion test, celiac trunk coil embolization proceeded under balloon occlusion of the proximal part of the celiac trunk. RESULTS: Balloon-assisted coil embolization of the celiac trunk was completed for all patients without any complications. All coils were deployed as planned in the short segment of the celiac trunk without displacement. Coil migration, ischemic complications, and endoleaks via the celiac trunk did not arise in any of the patients over a follow-up period of 77-637 (mean 258) days. CONCLUSIONS: Balloon-assisted coil embolization of the celiac trunk before TEVAR could be a feasible treatment option for suitable patients.
PURPOSE: Celiac trunk coil embolization before thoracic endovascular aneurysm repair (TEVAR) of a thoracoabdominal aortic aneurysm involving the celiac trunk can prevent type II endoleaks. One disadvantage of conventional coil embolization is the risk of coil displacement. We performed coil embolization under balloon occlusion of the celiac trunk to address this issue. MATERIALS AND METHODS: Between December 2008 and January 2011, 5 patients (3 men and 2 women, mean age 76 years) were included in this study. For all patients, after confirming the collateral blood flow from the superior mesenteric artery via the pancreaticoduodenal arcades by using the balloon occlusion test, celiac trunk coil embolization proceeded under balloon occlusion of the proximal part of the celiac trunk. RESULTS: Balloon-assisted coil embolization of the celiac trunk was completed for all patients without any complications. All coils were deployed as planned in the short segment of the celiac trunk without displacement. Coil migration, ischemic complications, and endoleaks via the celiac trunk did not arise in any of the patients over a follow-up period of 77-637 (mean 258) days. CONCLUSIONS: Balloon-assisted coil embolization of the celiac trunk before TEVAR could be a feasible treatment option for suitable patients.
Authors: Martin Czerny; Michael Grimm; Daniel Zimpfer; Suzanne Rodler; Roman Gottardi; Doris Hutschala; Johannes Lammer; Ernst Wolner; Maria Schoder Journal: Ann Thorac Surg Date: 2007-02 Impact factor: 4.330
Authors: Joseph E Bavaria; Jehangir J Appoo; Michel S Makaroun; Joel Verter; Zi-Fan Yu; R Scott Mitchell Journal: J Thorac Cardiovasc Surg Date: 2007-01-08 Impact factor: 5.209
Authors: David H Stone; David C Brewster; Christopher J Kwolek; Glenn M Lamuraglia; Mark F Conrad; Thomas K Chung; Richard P Cambria Journal: J Vasc Surg Date: 2006-12 Impact factor: 4.268
Authors: Peter Waldenberger; Nadine Bendix; Johannes Petersen; Thomas Tauscher; Bernhard Glodny Journal: J Vasc Surg Date: 2007-08-30 Impact factor: 4.268